Volunteer Opportunities

Name

First Name

Last Name

Subject

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Position requested

Education/Training/Experience

Hours and days available

Have you been convicted of a felony?

Yes

If yes, explain

Person to notify in case of emergency

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

This application does not discriminate in securing volunteers on the basis of race, color, religious creed, national origin, sex, ancestry, or on the basis of age against persons whose age is over 40 or on the basis of handicap or disability and any other characteristic required by law. As a volunteer of our organization, I agree to abide by the policies and procedures. I understand that I will be volunteering at my own risk and that the organization, its employees and affiliates, cannot assume any responsibility for any liability for any accident, injury or health problem which may arise from any volunteer work I perform for the organization. I agree that all the work I do is on a volunteer basis, and I am not eligible to receive any monetary payment or reward. By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal. THANK YOU for your interest in volunteering for us!

ACKNOWLEDGEMENT

I agree to the above terms and conditions.

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